Lupsan, Matthew
Lupsan, Matthew was paid $571K by Medicaid between Aug 2023 and Dec 2024, across 19 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.
33Billing provider infoLUPSAN, MATTHEW
CHICAGO, IL 60707
CHICAGO, IL 60707
33aNPI1619692811assigned 10/10/2022
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$571K
24GClaims18,001
24DCodes billed19
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#36 of 981
Median peer was paid$27K
This provider vs. median22×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 6,089 | $199K | |
| 2024incomplete | 11,912 | $373K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 22% | 1,937 | 835 | $125K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,128 | 2,128 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,683 | 2,682 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 10.0% | 2,123 | 2,123 | $57K |
| D4341 | 8.0% | 288 | 158 | $46K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 475 | 335 | $33K |
| D0274 | Bitewings - four radiographic images | 5.0% | 1,472 | 1,471 | $29K |
| D1110 | Prophylaxis - adult | 4.7% | 557 | 556 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 387 | 306 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 604 | 604 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 2,278 | 2,267 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 2,089 | 1,999 | $11K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.3% | 395 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 133 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 371 | $4K |
| D2331 | <1% | 15 | $2K | |
| D4910 | <1% | 25 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $146.55 |
| D0270 | <1% | 26 | $145.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.